Disability In Uruguay
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Disability in Uruguay is often described historically and culturally by the
medical model of disability The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that this disability may reduce the individual's qua ...
. Much of current government policy surrounds the use of trained and paid
caregiver A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most commo ...
s for people with severe disabilities and many people who need assistive devices have not been able to access these. In 2008, Uruguay adopted the Convention on the Rights of Persons with Disabilities. The government has worked to make more places physically accessible and to provide interpreters for
Uruguayan Sign Language Uruguayan Sign Language, or ''Lengua de señas uruguaya'' (LSU), is the deaf sign language of Uruguay Uruguay (; ), officially the Oriental Republic of Uruguay ( es, República Oriental del Uruguay), is a country in South America. It shares ...
(LSU) which is recognized as a minority language.


History

In the early history of Uruguay, people with
mental disabilities Mental may refer to: * of or relating to the mind Films * ''Mental'' (2012 film), an Australian comedy-drama * ''Mental'' (2016 film), a Bangladeshi romantic-action movie * ''Mental'', a 2008 documentary by Kazuhiro Soda * ''Mental'', a 2014 O ...
were often not treated. However, one of the first patients taken into the Charity Hospital of Montevideo in 1788 was a person who was brought in due to a
mental disorder A mental disorder, also referred to as a mental illness or psychiatric disorder, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. Such features may be persistent, relapsing and remitt ...
. During the
Uruguayan Civil War The Uruguayan Civil War, also known in Spanish as the ''Guerra Grande'' ("Great War"), was a series of armed conflicts between the leaders of Uruguayan independence. While officially the war lasted from 1839 until 1851, it was a part of armed c ...
in 1843, medical care was disrupted. After the civil war, an influx of physicians from England and France helped develop more technical knowledge of
psychiatry Psychiatry is the specialty (medicine), medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psych ...
. Uruguay established its first
mental institution Psychiatric hospitals, also known as mental health hospitals, behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative ...
in 1860. Reforms took place in the late 19th century, leading to the creation of "therapeutic communities" and "sheltered homes" in the early 20th century. In much of the early half of the 20th century, care for mental disabilities was only available in Montevideo. Special education in Uruguay was created in 1910 by the Council for Primary Education (''Consejo de Educación Primaria''), setting up schools for students who were
Deaf Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is written ...
or who had
speech disorder Speech disorders or speech impairments are a type of communication disorder in which normal speech is disrupted. This can mean stuttering, lisps, etc. Someone who is unable to speak due to a speech disorder is considered mute. Speech skills ...
s. In Uruguay, the Deaf community and the community of people with disabilities are allies, but are not closely connected due to a difference in their histories. Groups representing people with disabilities began to push for their rights in the 1980s. Also in the late 1980s, Uruguay created a proposal for
bilingual education In bilingual education, students are taught in two (or more) languages. It is distinct from learning a second language as a subject because both languages are used for instruction in different content areas like math, science, and history. The ...
for Deaf children which was intended to serve as a model for other countries. Prior to the 1980s, few Deaf individuals went on to secondary school and many in the community were pathologized. After changes in the law and encouragement of bilingual education, more in the Deaf community are accessing education and went on to university.


Demographics

The rate of
people with disabilities Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be cognitive, developmental, intellectual, mental, physical, se ...
in Uruguay, according to a 2006 survey done by the National Institute of Statistics and the Honorary National Commission on Disability found that it was at 9.2 percent overall. The capital city of Montevideo had a higher rate of people with disability than the rest of the country at 11.5 percent and more of these people were living in poverty. People with disabilities in Uruguay have a significantly lower rate of economic participation than people without disabilities.


Policy

Governmental policy in Uruguay has increasingly become "rights-based" in focus. This is in contrast to the country's initial medicalized basis for instituting policy for people with disabilities. Around 2005, the government transferred the National Disability Programme from the Ministry of Health to the Ministry of Social Development. Since around 2005, when Frente Ampilo (FA) took control of the government, special attention has been paid to the role of unpaid
caregiver A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most commo ...
s in Uruguay. In older welfare programs in the country, the role of unpaid caregivers was largely ignored. In recent years, starting in 2012, programs to professionalize caregivers has provided an income for these formerly unpaid laborers who provided services to children, the elderly and people with disabilities. The care system was formally launched in 2016 and provides training for caregivers. The first time the category of "disabled" was included in the national census was in 2011.


Non-governmental organizations

The first organization led by people speaking
Uruguayan Sign Language Uruguayan Sign Language, or ''Lengua de señas uruguaya'' (LSU), is the deaf sign language of Uruguay Uruguay (; ), officially the Oriental Republic of Uruguay ( es, República Oriental del Uruguay), is a country in South America. It shares ...
(LSU), was the Uruguayan Association of Deaf People (''Asociación de Sordos del Uruguay'' ASUR), founded in 1928. In the 1980s, another group began to work with ASUR, the Deaf People's Research and Development Centre (''Centro de Investigación y Desarrollo para la Persona Sorda'' CINDE), and advocated for
civil rights Civil and political rights are a class of rights that protect individuals' freedom from infringement by governments, social organizations, and private individuals. They ensure one's entitlement to participate in the civil and political life o ...
for the Deaf community. Other organizations for the Deaf community in Uruguay exist in towns throughout the country. Movimiento Estamos Tod@s En Acción (META) is an international group for young people with disabilities. META has membership in 10 different countries, including Uruguay.


Legislation

The Criminal Code, Article 30, provides for individuals who have committed a criminal offense to not face liability for their actions if they have a mental disability. Psychiatric care and hospitalization is regulated by Law No. 9581. The National Disability Programme was established by Article 256 of Act No. 18,172. In 2008, Uruguay adopted the Convention on the Rights of Persons with Disabilities, through Act No. 18,418. In 2010, Uruguay protected individuals with disabilities in Act No. 18,651 which protects their rights to access health care, education and which provides benefits and financial help as needed. The Care Act (No. 19,353) passed in November 2015 makes
caregiving A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most comm ...
an act that all children, the elderly and people with disabilities have the right to access. Law No. 19,529 on Mental Health was passed in August 2017. The law relies on the
medical model of disability The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that this disability may reduce the individual's qua ...
.


Education

People with disabilities in Uruguay are less likely to get a higher education than people without disabilities. A study done in 2004 found that children between the ages of 4 and 15 with disabilities only attended school at 88 percent of the non-disabled population and that only 32 percent complete primary school.
UNICEF UNICEF (), originally called the United Nations International Children's Emergency Fund in full, now officially United Nations Children's Fund, is an agency of the United Nations responsible for providing humanitarian and developmental aid to ...
reported in 2017 that 1 in 3 children with severe disabilities did not have access to education and that 1 out of 4 children with disabilities go on to complete secondary education. As of 2017, schools in Uruguay were still not prepared to include children with disabilities into their classrooms. The Deaf community of Uruguay are taught in
Uruguayan Sign Language Uruguayan Sign Language, or ''Lengua de señas uruguaya'' (LSU), is the deaf sign language of Uruguay Uruguay (; ), officially the Oriental Republic of Uruguay ( es, República Oriental del Uruguay), is a country in South America. It shares ...
(LSU). The Council for Primary Education (''Consejo de Educación Primaria'') in 1987 created a proposal for
bilingual education In bilingual education, students are taught in two (or more) languages. It is distinct from learning a second language as a subject because both languages are used for instruction in different content areas like math, science, and history. The ...
for LSU speakers in schools. The 2008 General Education Law refers to the use of "mother tongues" in article 40 and pushes towards a more bilingual method of instruction including sign language. A law passed in 2001 designates LSU as the "natural language" for the Deaf community in Uruguay, as does the 2008 General Education Law. In 2008, the National Administration of Public Education (ANEP), instituted mandatory bilingual education for natural speakers of LSU.


Accessibility

In 2008, laws were passed to provide
physical access Physical access is a term in computer security that refers to the ability of people to physically gain access to a computer system. According to Gregory White, "Given physical access to an office, the knowledgeable attacker will quickly be able to ...
ibility to all public areas and also to provide public information access. Parking spaces reserved for people with disabilities is only available in areas for shopping, hospitals and government buildings. Less than 50 percent of individuals with disabilities who need an
assistive device Assistive technology (AT) is a term for assistive, adaptive, and rehabilitative devices for people with disabilities and the elderly. Disabled people often have difficulty performing activities of daily living (ADLs) independently, or even with ...
said that they had received one, according to a 2011 census. A
prosthetic In medicine, a prosthesis (plural: prostheses; from grc, πρόσθεσις, prósthesis, addition, application, attachment), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through trau ...
lab in Uruguay was created in 2011, through a cooperation agreement with Cuba. In 2013, the National Centre for Technical and Technological Assistance was created to provide aid to people with disabilities. Interpreters for the
Deaf Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is written ...
in city government exists most often in Montevideo, with less access in other cities. Some news programs also provide interpreters. Uruguay has also mandated that all television channels needed to have interpreters for other types of programs and complete the project in 2020. However, the Deaf do not have adequate access to interpreters in the health system as of 2012.


Cultural attitudes

Disability activists in Uruguay reject the
medical model of disability The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that this disability may reduce the individual's qua ...
and focus instead on a human-rights approach to dealing with issues relating to people with disabilities. However, there is still an overall cultural attitude that relies on the medical model when thinking or talking about people with disabilities. The Uruguayan Deaf community uses
Uruguayan Sign Language Uruguayan Sign Language, or ''Lengua de señas uruguaya'' (LSU), is the deaf sign language of Uruguay Uruguay (; ), officially the Oriental Republic of Uruguay ( es, República Oriental del Uruguay), is a country in South America. It shares ...
(''Lengua de Señas Uruguaya'', LSU). The Deaf community in Uruguay have often been treated as speakers of a "minority language" in the country where Spanish is the
national language A national language is a language (or language variant, e.g. dialect) that has some connection—de facto or de jure—with a nation. There is little consistency in the use of this term. One or more languages spoken as first languages in the te ...
.


Sport

Since 2015, Uruguay has been hosting an Inclusive Surf Festival to raise awareness about human rights for people with disabilities. The festival, held at
Brava Beach Brava or La Brava may refer to: Geography * Brava, Cape Verde, a volcanic island * Brava, Costa Rica, an island of Costa Rica (Isla Brava) * Costa Brava, a coastal area Mediterranean of northeast Spain *Barawa, a town in Somalia commonly known as ...
in Montevideo, has helped raise money and bring disability rights activists in Uruguay together.


See also

* Uruguay at the Deaflympics * Uruguay at the Paralympics


References


Sources

* * {{Authority control Uruguayan culture
Uruguay Uruguay (; ), officially the Oriental Republic of Uruguay ( es, República Oriental del Uruguay), is a country in South America. It shares borders with Argentina to its west and southwest and Brazil to its north and northeast; while bordering ...